Active NPI
Shannon Portz Robinson
- Specialist
- Yuma, AZ
National Provider Identifier
1316356587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5867
- Practice address
- 400 W 5TH St
Yuma, AZ 85364-2945 - Phone
- (928) 502-7800
- Fax
- (928) 502-7818
- NPI assigned
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5867 | AZ | Primary |
Addresses
Primary practice location
400 W 5TH St
Yuma, AZ 85364-2945
Mailing address
400 W 5TH St
Yuma, AZ 85364-2945
Phone (928) 502-7800
Other names 1
- Shannon Portz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5867 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1316356587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 5TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853642945",
"telephone_number": "928-502-7800",
"fax_number": "928-502-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 5TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853642945",
"telephone_number": "928-502-7800",
"fax_number": "928-502-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTZ ROBINSON",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "5867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "PORTZ",
"credential": "COTA/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.